"It gave me so much confidence": First-time US mothers' experiences with antenatal milk expression
"It gave me so much confidence": First-time US mothers' experiences with antenatal milk expression
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DOI：
10.1111/mcn.12824
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发表时间：
2019-10-01
影响因子：
3.4
通讯作者：
Himes, Katherine P.
中科院分区：
文献类型：
--
作者：
Demirci, Jill R.;Glasser, Melissa;Himes, Katherine P.
母乳挤出（AME）涉及母亲在怀孕期间手工挤出、收集和储存母乳，目的是减少母乳喂养婴儿的早期配方奶粉使用。AME在美国并不广泛使用，尽管它在其他地方越来越受欢迎。在这项研究中，我们研究了从美国助产士实践中招募的首次母亲的经验，这些母亲在试点随机对照试验的背景下从事AME。AME干预包括从妊娠37周开始与哺乳顾问一起演示和实践AME，每周研究访视时加强，直到分娩，以及每天的家庭实践。19名妇女参加了半结构化的采访，在产后1-2周，他们的学习经验。主要主题包括（1）AME的预期效益和影响，（B）AME的实施，以及（c）AME牛奶的使用。女性认为AME有多种好处，最值得注意的是，它增加了她们的信心，使她们能够在产后成功地母乳喂养。妇女表示担心，没有/很少乳汁分泌可能表明产后乳汁分泌有问题。关于执行情况，妇女发现，AME协议非常适合她们的日常工作。关于在合作伙伴在场的情况下练习AME的舒适度，反馈意见不一。产后使用AME牛奶的原因各不相同;提供障碍包括分娩医院的牛奶储存选择不足和不支持的医院提供者/工作人员。几乎没有警告，AME似乎是一个可以接受的母乳喂养支持干预之间的社会人口统计学同质组的第一次在美国的母亲。
Antenatal milk expression (AME) involves maternal hand-expression, collection, and storage of breast milk during pregnancy for the purposes of reducing the early formula use in breastfed infants. AME is not widely practiced in the United States, despite its growing popularity elsewhere. In this study, we examined the experiences of first-time mothers recruited from a U.S. midwife practice who engaged in AME within the context of a pilot randomized controlled trial. The AME intervention involved demonstration and practice of AME with a lactation consultant beginning at 37 weeks of gestation, reinforcement at weekly study visits until delivery, and daily home practice. Nineteen women participated in a semistructured interview at 1-2 weeks postpartum regarding their study experiences. Major themes included (1) perceived benefits and impact of AME, (b) AME implementation, and (c) use of AME milk. Women perceived multiple benefits of AME, most notably that it increased their confidence that they would be able to make milk and breastfeed successfully postpartum. Women expressed some concern that no/little milk expressed could be indicative of postpartum milk production problems. Regarding implementation, women found that the AME protocol fit well into their daily routine. There was mixed feedback regarding comfort with practicing AME in the presence of partners. Reasons for postpartum use of AME milk varied; barriers to provision included inadequate milk storage options at the birth hospital and unsupportive hospital providers/staff. With few caveats, AME appears to be an acceptable breastfeeding support intervention among a sociodemographically homogeneous group of first-time mothers in the United States.